Advances in asthma management Research Paper Example | Topics and Well Written Essays - 2500 words

Advances in asthma management - Research Paper Example Most of the patients develop symptoms in early childhood. 80-90 percent of them experience symptoms before 6 years of age (Morris, 2014). But, the clinical presentation can occur at any age. If left unattended and in the presence of severe symptoms, asthma can contribute to morbidity and mortality. Asthma is an incurable disease and individuals with this condition will need regular follow-up and monitoring of symptoms. In this essay, advances in asthma will be discussed with reference to a case scenario. The most common symptoms of asthma in an adult are are wheezing, cough, nocturnal or exercise-induced cough, breathlessness, tightness of chest and sputum production (Morris, 2014). The symptoms may be perennial or seasonal, continuous or intermittent, or during the day or night. Some of the precipitating or aggravating factors include viral infections, intense emotions, environmental irritants, exercise, pets or carpets at home, drugs like aspirin, additive foods, weather changes, stress and certain diseases like gastrointestinal reflux, sinusitis and rhinitis (Morris, 2014; Hamilos, 1995). Many patients have a family history of asthma or other allergy conditions. Based on the history of frequency and the severity of acute exacerbation, asthma is classified into four types. They are mild intermittent asthma, mild persistent asthma, moderate persistent asthma and severe persistent asthma. It is important to ascertain the severity of asthma in a patient because; treatment of asthma is based on the severity and frequency of symptoms. In mild intermittent asthma, the symptoms occur less than twice a week. The flare-ups are brief and the intensity vary. Night symptoms occur less than 2 times a month and no symptoms occur in between flare-ups. FEV1 is atleast 80% of normal values. The variability of peak flow is less than 20 % (SIGN, 2009). In mild persistent asthma, the

Go tell it on the mountain by James Baldwin Essay

Go tell it on the mountain by James Baldwin - Essay Example â€Å"He awoke on this birthday morning with the feeling that there was a menace in the air around him’’ (Baldwin 1985, 19). The thought of sinning makes John depressed. John’s relationship with the father deteriorates because of his sin. He feels that obeying God requires submitting to his father. John tells Elisha that: â€Å"Elisha†¦ no matter what anybody says, you remember –please remember-I was saved. I was there.’’ This shows John depressed because of masturbating. â€Å"Then John knew that a curse was renewed from moment to moment, from father to son.†(Baldwin 1985, 288). This highlights John’s depressed state. Sinning is an innate behavior therefore should not cause depression. Instead, one should ask for forgiveness. The bitter relationship between John and Gabriel shows the theme of hatred. There is conflict between Gabriel and his son John. John did not understand the reason of Gabriel’s hate towards him. He tries all he could to appease Gabriel in vain. However, towards the end of the novel, John realizes that Gabriel hate could be because he was not his biological father but his stepfather. â€Å"He lived for the day when his father would be dying and he, John, would curse him on his death-bed.†(Baldwin 1985, 23) .This shows John’s hate for his father. â€Å"Satan, at the moment, stared out of John’s eyes while the spirit spoke.† This quote highlights Gabriel regarding John as a Satan. â€Å"And John did†¦to stare forever into the bottom of Gabriel’s soul.† This shows John disturbed looking for possible reason for Gabriel’s hate. The religious norms practiced by the community are hypocritical. Most of the church leaders and the congregation did not practice the Christian ideals they preached. The fact that Gabriel hated John despite the fact that he was a deacon shows religious hypocrisy. Gabriel does not seem pleased with John even after he became a saint. â€Å"They stood before each other in